About this role
Job summary
This is an exciting opportunity and time to join the clincial team in a forward thinking, developing, busy, and diverse GP Practice. This is an established training Practice and we are looking for an additional experienced, enthusiastic and motivated Advanced Nurse/Clinical Practitioner who can integrate well and who has skills to offer which can benefit our patients.
We will be adopting a new role with this position, and clinics will be face to face appointments only and responsibilities for results will be dealt with by the GP team. We will provide regular GP supervision monthly when time allows and training opportunities in line with NMC code and regulations surrounding qualifications and educational needs. We have a clinical meeting once a month which you will be expected to attend.
Main duties of the job
Work as part of a multi-disciplinary team to deliver safe and high-quality care. Carries out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care. Delivery of care in line with NSF, NICE guidelines and evidence-based care Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary to other members of the primary and secondary health care teams as appropriate. Co-ordinate the planning and delivery of care ensuring patients and carers/relatives are involved. Prescribing and reviewing medication that is appropriate to patient needs and in accordance with latest evidence-based practice, national and practice protocols and within the scope of qualified practice, including Asthma/COPD and Diabetes. Diagnose and manage acute and chronic conditions, including drug and non-drug-based treatment methods into a management plan, including Asthma/COPD and Diabetes. Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc.
Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency.
About us
The Trafalgar Medical Group Practice is a 28,000 patient list, 5 GP Partner Practice situated in the heart of Southsea. The Practice operates across 2 sites. The Practice is also the lead Practice for the Portsmouth South Coast Primary Care Network.
Job description Job responsibilities
The Advanced Nurse Practitioner (ANP) will act autonomously within their professional scope of practice providing care for patients face to face and potentially some home visits.
The postholder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence.
The ANP will need to prioritise and triage the needs of patients accordingly, making any necessary referrals for investigations in the appropriate manner.
The postholder will use skills, knowledge and competencies as a qualified ANP in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate.Job Responsibilities:
Work as part of a MDT to deliver safe and high-quality care. Carries out clinical nursing practice at an advanced level using expert clinical skills, critical judgements & knowledge to deliver appropriate and safe care. Delivery of care in line with NSF, NICE guidelines and evidence-based care Triage and treat patients, performing specialist assessment of their needs and make referrals as necessary Co-ordinate the planning and delivery of care Prescribing and reviewing medication that is appropriate to patient needs Diagnose and manage acute and chronic conditions Request diagnostic investigations and interpret within agreed protocols e.g. x-ray, blood tests, scans, etc. Assess, diagnose and treat patients in practice premises or their own home who require medical attention and/or refer to appropriate agency. Refers patients to other members of the MDT, secondary care organisations and other organisations as necessary. Care Management
Communicates confidential and sensitive information to patients, relatives and carers in relation to their condition.
Provide highly specialised care advice beyond the scope of normal Nursing practice e.g. care treatment plans, making referrals as appropriate (including urgent referrals).
Contribute to local and national practice targets
To monitor and meet care outcomes against standards and recommend or initiate changes as necessary.
Health Improvement
Management of health screening programmes and ensures other team members are aware of health priorities and screening objectives and programmes.
Innovation in practice to meet ongoing demands on the practices delivery of care.
Improve health outcomes for patients by introducing new developments and can demonstrate them as reports and presentations where appropriate.
Supports practitioners in reporting the practice population to promote health improvement and disease prevention.
Makes referrals to appropriate agencies (statutory and voluntary) where necessary
Administration and professional responsibilities
Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
Participate in the administrative and professional responsibilities of the practice team Accurate and legible notes of all consultations and treatments are recorded in the patients notes Ensure clinical systems kept up to date, recording and/or amending accurate details Ensure appropriate items of service claims are made accurately, reporting any problems to the practice administrator Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice Attend and participate in practice meetings as required Restocking and maintenance of clinical areas and consulting rooms Training and personal development
Maintain up to date skills and knowledge, maintaining awareness of professional issues at an advanced level. Training needs will be monitored by yearly appraisal and will be in accordance with practice requirements. Personal development will be encouraged and supported by the practice. Assess effectiveness of care delivery through self-reflection and peer review, as well as benchmarking and formal evaluation.
Contribute to the identification and assessment of learning needs of staff and other professionals and assist in planning effective programmes of education.
Participate in the education and training of students of all disciplines and the introduction of all members of the practice staff where appropriate. Develop and maintain an in-house nurse-training programme reporting to the clinical manager. Act as a mentor for junior staff, assessing competence against set standards. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work and ensure own educational commitment is at least sufficient to maintain revalidation requirements. Develop and maintain a Personal Learning Plan. Regularly participate in clinical supervision and Clinical meetings. Confidentiality:
In the course of seeking treatment, patients entrust practice staff with, or allow us to gather, sensitive information in relation to their health and other matters.
Comply with Legislation with regards to data protection act and ensure confidentiality is maintained at all times.
The post-holder must regard all information relating to patients and their carers, practice staff and other healthcare workers (as well as information relating to the practice as a business organisation) as strictly confidential Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality, data protection legislation and the protection of personal and sensitive data, as well as other related healthcare legislation (e.g. the NHS Confidentiality Code of Practice) Health & Safety:
The post-holder will comply with practice policies, procedures and clinical guidelines for self and others. This includes (but not limited to):
Identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised Identifying issues and hazards / risks in relation to other work areas within the business Awareness of national standards of infection control and cleanliness, as well as ownership of infection control and clinically based patient care protocols and implementing them across the practice. Active observation of current working practices across the practice in relation to infection control, cleanliness and related activities, ensuring that procedures are followed and weaknesses / training needs are identified, escalating issues as appropriate. Identifying the risks involved in work activities, raising them with appropriate management and managing those risks across clinical and patient processes. Safe management of sharps procedures, including training, use, storage and disposal Keeping own work areas and general / patient areas generally clean, sterile, assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other managers Demonstrate due regard for safeguarding and promoting the welfare of children. Routine management of own team / team areas, and maintenance of workspace standards; Waste management, including collection, handling, segregation, container management, storage and collection Spillage control procedures, management and training Decontamination control procedures, management and training, and equipment maintenance
Equality and Diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity. Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Support people who need assistance in exercising their rights. Quality:
The post-holder will strive to maintain quality within the practice, and will:
Alert other team members to issues of quality and risk Assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance Work effectively with individuals in other agencies to meet patients needs Effectively manage own time, workload and resources Communication:
The post-holder should recognize the importance of effective communication within the team and will strive to:
Communicate effectively with other team members Communicate effectively with patients and carers Recognize peoples needs for alternative methods of communication and respond accordingly Ensure awareness of sources of support and guidance (e.g. PALS) and provide information in an acceptable format to all patients, recognising any difficulties and referring where appropriate.
Contribution to the implementation of services:
The post-holder will:
Apply practice policies, standards and guidance Discuss with other members of the team how the policies, standards and guidelines will affect own work Participate in audit where appropriate.
Person Specification
Experience Essential
Experience of working in accordance with the NMC Code of Professional Conduct Experience of working in a primary care environment Experience of Microsoft Office software Experience of diagnosis and treatment of minor illnesses Understanding of clinical coding in general and Read coding in particular
Desirable
Experience of multi-skilled approach to Chronic Disease Management Experience of working in a complex organisation Experience of working with new technologies in health care practice
Personal Attributes and Qualities Essential
Ability to listen, empathise with people and provide person centred support in a non-judgemental way Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity Commitment to reducing health inequalities and proactively working to reach people in all communities Able to support people in a way that inspires trust and confidence, motivating others to reach their potential Able to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders. Ability to identify risk and assess/manage risk when working with individuals Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role, e.g. when there is a mental health need requiring a qualified practitioner Able to work from an asset based approach, building on existing community and personal assets Able to provide leadership and finish work tasks Ability to maintain effective working relationships and to promote collaborative practice with all colleagues Demonstrates personal accountability, emotional resilience and works well under pressure Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines High level of written and oral communication skills Ability to work flexibly and enthusiastically within a team or on own initiative Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance and health and safety
Qualifications Essential
Registered Nurse Minimum 2 years post registration experience Evidence of appropriate knowledge base, enhanced practice Broad knowledge of clinical governance Knowledge of Infection Prevention Control including Public Health issues in the local area Understands the requirement for PGDs, PSDs and associated policy Requesting pathology tests and processing the results, advising patients accordingly LES/DES/QoF/CQC related clinical and administrative work Ability to record accurate clinical notes Insight and understanding of current issues in nursing and the NHS Venepuncture Management/Prescribing for Diabetes, Asthma/COPD Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities Interest and Advanced knowledge in long-term conditions. Evidence of problem-solving and decision-making skills.
Desirable
Knowledge of community development approaches Knowledge of the personalised care approach
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Trafalgar Medical Group Practice
Address 25 Osborne Road
Southsea
Portsmouth
Hampshire
PO5 3ND
United Kingdom
Employer's website https://www.trafalgarmedicalgrouppractice.co.uk/ (Opens in a new tab)